Provider Demographics
NPI:1477857050
Name:WASECA COUNTY HUMAN SERVICE
Entity Type:Organization
Organization Name:WASECA COUNTY HUMAN SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARILEE
Authorized Official - Middle Name:
Authorized Official - Last Name:RECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-835-0584
Mailing Address - Street 1:299 JOHNSON AVE SW STE 160
Mailing Address - Street 2:
Mailing Address - City:WASECA
Mailing Address - State:MN
Mailing Address - Zip Code:56093-2534
Mailing Address - Country:US
Mailing Address - Phone:507-835-0560
Mailing Address - Fax:507-835-0566
Practice Address - Street 1:299 JOHNSON AVE SW STE 160
Practice Address - Street 2:
Practice Address - City:WASECA
Practice Address - State:MN
Practice Address - Zip Code:56093-2534
Practice Address - Country:US
Practice Address - Phone:507-835-0560
Practice Address - Fax:507-835-0566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-22
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management